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BRIAN CHARLES WALLACE
NPI 1114378759
Physician Assistant in Mount Holly, NC

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
125 W CATAWBA AVE, MOUNT HOLLY, NC 28120(704) 827-3014 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Charles Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN CHARLES WALLACE (NPI 1114378759) is an individual physician assistant in Mount Holly, North Carolina, licensed in North Carolina (0010-06531) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114378759
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN CHARLES WALLACE
Location Address125 W CATAWBA AVEMount Holly, NC 28120-1601
Mailing Address125 W Catawba AveMount Holly, NC 28120-1601 · (704) 827-3014
Phone(704) 827-3014
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 6, 2016
✔ NPI 1114378759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-06531
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
125 W CATAWBA AVE, Mount Holly, NC 28120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Charles Wallace is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668766221
PECOS Enrollment IDI20160805000013
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
98 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers18 claims18 services$65.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADDIE ELIZABETH LAYTON FNP
Nurse Practitioner (Primary Care)
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014
LUKE MEDICAL CLINIC, P.A.
Family Medicine
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014
AMANDA NELSON FNP-BC
Nurse Practitioner (Family)
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014
DR. GREGORY LEE GLASS MD
Family Medicine
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014
MRS. KRISTAL ROSE BELL FNP-C
Nurse Practitioner (Family)
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014
JOELLE BROWN BRIDGES FNP-C
Nurse Practitioner (Family)
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014
MRS. SHELBY KING FIELDS RN
Nurse Practitioner (Family)
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Wallace's NPI number?

The NPI number for Brian Wallace is 1114378759. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Brian Wallace located?

Brian Wallace practices at 125 W Catawba Ave, Mount Holly, NC 28120. The listed phone number is (704) 827-3014.

What is Brian Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Wallace enrolled in Medicare?

Yes. Brian Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Wallace accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Brian Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Wallace affiliated with any hospitals?

According to CMS data, Brian Wallace is affiliated with Caromont Regional Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Brian Wallace was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.